A4F-26008-82764
2 vaccinations
4 coded responses
13 check-ins
3 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 661 / KS
- Registered
- 2022-01-25
- Relationship
- Child or adolescent in my care
- Guardian
- PXP-21716-73149
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-01-04
Dose 1 — Pfizer-BioNTech
-
2022-01-25
Registered in v-safe
-
2022-01-25
Dose 2 — Pfizer-BioNTech
- 2022-01-25
-
2022-01-26
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Erythema — Feeling: Fair · Fever · Fatigue or tirednessFree text: Red cheeks (face)MedDRA releases: 2024-11 · check-in free text available
- 2022-01-29
- 2022-01-30
- 2022-02-03
- 2022-02-08
- 2022-02-15
- 2022-02-22
- 2022-03-03
- 2022-03-08
-
2022-04-26
Survey response — 3 months, dose 2, dependentMedDRA: Pre-existing disease — Feeling: GoodFree text: Seasonal allergiesMedDRA releases: 2024-11 · check-in free text available
-
2022-07-28
Survey response — 6 months, dose 2, dependentMedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolFree text: He has had 2 coldsMedDRA releases: 2024-11 · check-in free text available
-
2023-01-26
Survey response — 12 months, dose 2, dependentMedDRA: COVID-19, Pharyngitis streptococcal — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-01-26
Report sent to call center — 12 months, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2023-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-01-04 | Pfizer-BioNTech | No |
| 2 | 2022-01-25 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-26 | Unsuccessful |
Free text
Release 11 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Red cheeks (face)
Release 11 — 3 months, dose 2, dependent
Symptoms: Seasonal allergies
Release 12 — 6 months, dose 2, dependent
Symptoms: He has had 2 colds
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release